Finding ‘the inner drive’ for a rehabilitation process: a small- scale qualitative investigation among male patients with primary glioma

Mette Lysdahl Fahrenholt, Anders Hansen, Karen Søgaard, Lotte Nygaard

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Abstract

Objective Brain tumours are relatively rare but hold a significant place in cancer rehabilitation due to their pronounced disabling capacity to promote physical, cognitive and psychosocial sequelae. This small-scale qualitative study used coping and motivational theories to gain understanding and knowledge of patients' experience of being diagnosed with a severe disease and of their view of a rehabilitation process. Design Qualitative interview study. Setting Odense University Hospital, Denmark. Informants Five patients (men, aged 30-79 years) with primary glioma who had participated in a rehabilitation intervention. Methods Semi-structured interviews were conducted. The phenomenological interpretive analysis was used to analyse the interviews. Results The analysis revealed three main themes: (1) coping with a new life situation, (2) motivating and maintaining elements and (3) experience of the benefit of the rehabilitation programme. Conclusion The study concluded that interviewed informants use problem-solving coping strategies, which make them more active in their health behaviour. However, passive and emotion-focused strategies related to confronting diagnosis may be used in some cases. The motivational aspect is multifaceted. Personal and interpersonal elements alongside a competitive setting are crucial to self-efficacy and benefit. The intervention's impact on health-related quality of life also has the potential to increase patients' resources to manage their situation. Trial registration number NCT02221986

Original languageEnglish
Article numbere031665
JournalB M J Open
Volume9
Issue number12
Number of pages10
ISSN2044-6055
DOIs
Publication statusPublished - 8. Dec 2019

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Glioma
Interviews
Health Behavior
Self Efficacy
Denmark
Quality of Life
Neoplasms

Keywords

  • cancer
  • coping
  • glioma
  • rehabilitation

Cite this

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title = "Finding ‘the inner drive’ for a rehabilitation process: a small- scale qualitative investigation among male patients with primary glioma",
abstract = "Objective Brain tumours are relatively rare but hold a significant place in cancer rehabilitation due to their pronounced disabling capacity to promote physical, cognitive and psychosocial sequelae. This small-scale qualitative study used coping and motivational theories to gain understanding and knowledge of patients' experience of being diagnosed with a severe disease and of their view of a rehabilitation process. Design Qualitative interview study. Setting Odense University Hospital, Denmark. Informants Five patients (men, aged 30-79 years) with primary glioma who had participated in a rehabilitation intervention. Methods Semi-structured interviews were conducted. The phenomenological interpretive analysis was used to analyse the interviews. Results The analysis revealed three main themes: (1) coping with a new life situation, (2) motivating and maintaining elements and (3) experience of the benefit of the rehabilitation programme. Conclusion The study concluded that interviewed informants use problem-solving coping strategies, which make them more active in their health behaviour. However, passive and emotion-focused strategies related to confronting diagnosis may be used in some cases. The motivational aspect is multifaceted. Personal and interpersonal elements alongside a competitive setting are crucial to self-efficacy and benefit. The intervention's impact on health-related quality of life also has the potential to increase patients' resources to manage their situation. Trial registration number NCT02221986",
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Finding ‘the inner drive’ for a rehabilitation process: a small- scale qualitative investigation among male patients with primary glioma. / Fahrenholt, Mette Lysdahl; Hansen, Anders; Søgaard, Karen; Nygaard, Lotte.

In: B M J Open, Vol. 9, No. 12, e031665, 08.12.2019.

Research output: Contribution to journalJournal articleResearchpeer-review

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AU - Fahrenholt, Mette Lysdahl

AU - Hansen, Anders

AU - Søgaard, Karen

AU - Nygaard, Lotte

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N2 - Objective Brain tumours are relatively rare but hold a significant place in cancer rehabilitation due to their pronounced disabling capacity to promote physical, cognitive and psychosocial sequelae. This small-scale qualitative study used coping and motivational theories to gain understanding and knowledge of patients' experience of being diagnosed with a severe disease and of their view of a rehabilitation process. Design Qualitative interview study. Setting Odense University Hospital, Denmark. Informants Five patients (men, aged 30-79 years) with primary glioma who had participated in a rehabilitation intervention. Methods Semi-structured interviews were conducted. The phenomenological interpretive analysis was used to analyse the interviews. Results The analysis revealed three main themes: (1) coping with a new life situation, (2) motivating and maintaining elements and (3) experience of the benefit of the rehabilitation programme. Conclusion The study concluded that interviewed informants use problem-solving coping strategies, which make them more active in their health behaviour. However, passive and emotion-focused strategies related to confronting diagnosis may be used in some cases. The motivational aspect is multifaceted. Personal and interpersonal elements alongside a competitive setting are crucial to self-efficacy and benefit. The intervention's impact on health-related quality of life also has the potential to increase patients' resources to manage their situation. Trial registration number NCT02221986

AB - Objective Brain tumours are relatively rare but hold a significant place in cancer rehabilitation due to their pronounced disabling capacity to promote physical, cognitive and psychosocial sequelae. This small-scale qualitative study used coping and motivational theories to gain understanding and knowledge of patients' experience of being diagnosed with a severe disease and of their view of a rehabilitation process. Design Qualitative interview study. Setting Odense University Hospital, Denmark. Informants Five patients (men, aged 30-79 years) with primary glioma who had participated in a rehabilitation intervention. Methods Semi-structured interviews were conducted. The phenomenological interpretive analysis was used to analyse the interviews. Results The analysis revealed three main themes: (1) coping with a new life situation, (2) motivating and maintaining elements and (3) experience of the benefit of the rehabilitation programme. Conclusion The study concluded that interviewed informants use problem-solving coping strategies, which make them more active in their health behaviour. However, passive and emotion-focused strategies related to confronting diagnosis may be used in some cases. The motivational aspect is multifaceted. Personal and interpersonal elements alongside a competitive setting are crucial to self-efficacy and benefit. The intervention's impact on health-related quality of life also has the potential to increase patients' resources to manage their situation. Trial registration number NCT02221986

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